Abstract
Background
Cervicitis is most commonly caused by sexually transmitted infections. “Normal vaginal
flora” are rarely responsible for inflammation of the cervix.
Case
We describe a 22-year-old female patient with chronic cervicitis who had negative
test results for bacterial and viral pathogens most commonly responsible for cervicitis.
After 21 months of symptoms and multiple courses of empiric antibiotics addressing
the most common causes of cervicitis, a course of antibiotics targeting group B streptococcus
found on a genital culture resolved the patient's illness.
Summary and Conclusion
Bacteria considered to be “normal vaginal flora” in a nonpregnant young female adult
should be considered as a potential pathogen when test results for more routine pathogens
associated with cervicitis are negative.
Key Words
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References
- 2015 Sexually transmitted diseases treatment guidelines. Diseases characterized by urethritis and cervicitis.(Available:)https://www.cdc.gov/std/tg2015/urethritis-and-cervicitis.htmDate accessed: August 3, 2018
- Chronic cervicitis: presenting features and response to therapy.J Low Genit Tract Dis. 2016; 20: e30-e33
- Interrelationships of bacterial vaginosis and cervical inflammation.Sex Transm Dis. 2001; 29: 59-64
- Group B streptococcal vaginitis in postpubertal adolescent girls.J Adolesc Health. 2005; 36: 437-440
- Streptococcus agalactie involved in the etiology of sexually transmitted diseases.An Bras Dermatol. 2011; 86: 1205-1207
- Cervicitis and urethritis caused by group B streptococcus: case report.Genitourin Med. 1985; 61: 343-344
- Streptococcus agalactiae vaginitis: nonhemolytic variant on the Liofilchem Chromatic StreptoB.Int J Clin Exp Pathol. 2013; 6: 1693-1695
- Sexually transmitted diseases treatment guidelines. Mycoplasma genitalium.(Available:)
Article info
Publication history
Published online: December 21, 2018
Footnotes
Amy B. Middleman receives royalties as a Section Editor/author for UpToDate.com. Erin E. Hester indicates no conflicts of interest.
Identification
Copyright
© 2019 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
